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North Carolina rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Facilitymedian $46 · 10th–90th $24$1820%20%40%10th90th$46Professionalmedian $18 · 10th–90th $16$320%20%10th90th$18$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $27.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $204.17